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Organization

PRAIRIE MANOR INC.

Active
Other names
Prairie Manor Care Center, Heather Haus
Organization subpart
No

Provider details

NPI number
Authorized official
BRITTANY ALEXANDER (BUSINESS OFFICE MANAGER)
(507) 572-6193
Entity
Organization

Contact information

Practice address
220 3RD ST NW, BLOOMING PRAIRIE, MN 55917-1121
(507) 583-4434
(507) 583-2401
Mailing address
220 3RD ST NW, BLOOMING PRAIRIE, MN 55917-1121
(507) 583-4434
(507) 583-2401

Taxonomy

Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
314000000X
Skilled Nursing Facility
Primary
325518
MN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
122343700
MN
Enumeration date
08/15/2005
Last updated
04/30/2025
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